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We are carrying out a review of quality at Guarantee Care Services Ltd. We will publish a report when our review is complete. Find out more about our inspection reports.


Inspection carried out on 3 October 2019

During a routine inspection

About the service

Guarantee Care Services Ltd is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. The service began operating at the end of July 2019. At the time of our inspection there were five people using the service.

People’s experience of using this service and what we found

People received care and support that had been planned and agreed with them. Their choices for how this was provided were respected and staff delivered this in line with their wishes. Staff knew people well and supported them in a dignified, respectful way which maintained their privacy and independence. People received support from the same staff so that this was consistent. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were trained to safeguard people from abuse and to report any concerns they had to the appropriate person and agencies. Staff were provided information about how to manage and minimise identified risks to people’s safety and wellbeing. They followed good practice when providing personal care and when preparing and handling food which reduced hygiene risks.

There were enough staff to meet people’s needs. The provider made sure staff were suitable and fit to support people through their recruitment checks. Staff received relevant training and support from the registered manager who made sure they were clear about their duties and responsibilities when providing care and support.

Where staff were responsible for this they helped people to eat and drink enough to meet their needs and take their prescribed medicines. Records maintained by staff helped keep others involved in people’s care well informed about their health and wellbeing. Staff understood people’s healthcare needs and how they should be supported with these in a timely and appropriate way.

People were informed about the quality of care and support they should expect to receive. The registered manager checked with people that the care and support provided was meeting their needs. They sought people’s views about how the service could improve. There were arrangements in place to make sure any accidents, incidents and complaints would be fully investigated and people would be involved and informed of the outcome. The provider worked with others to develop and improve the care and support provided to people.

People were satisfied with the care and support received from staff and had positive things to say about the management of the service. However, as the service had only been operating for nine weeks at the time of this inspection, we were unable to obtain sufficient information and evidence of consistent good practice to rate the service at this time.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

This service was registered with us on 04/10/2018. The service was initially located in the London Borough of Croydon. In September 2019 the provider moved the service to the current location based in Epsom, Surrey. This is the first inspection of the service since registration.

Why we inspected

We normally inspect new services within 12 months of them registering with CQC. We scheduled a comprehensive inspection to check the safety and quality of care people received.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.